A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Agarwal, Neema
- Ocular Trauma-Spectrum of Ultrasound Findings: a Prospective Study
Authors
1 Department of Radiology, School of Medical Science and Research, Sharda University, Greater Noida, (U.P.), IN
2 Department of Radiology, School of Medical Science and Research, Sharda University, Greater Noida (U.P.), IN
3 ITS Dental College, Greater Noida (U.P.), IN
4 Department of Ophthalmology, School of Medical Science and Research, Sharda University, Greater Noida (U.P.), IN
Source
Indian Journal of Public Health Research & Development, Vol 4, No 1 (2013), Pagination: 138-142Abstract
Introduction: Ocular trauma is a common co-existing injury, often missed, in poly-trauma. Delayed diagnosis may lead to vision threatening consequences. It is important to diagnose it early so as to prevent ocular morbidity.
Patients and Methods: A prospective observation study comprising 50 patients with positive Ultrasound findings referred to our department and having history of ocular trauma. Ocular Ultrasound was done and various findings were recorded and analysed.
Aims and Objectives: To study the spectrum of ultrasound findings in ocular trauma and to advocate the liberal use of Ultrasound in this clinical setting.
Observations and Results: The age of the patients in the sample ranged from 8-63 years with mean age being 26 years. The commonest pathologies to be encountered were vitreous haemorrhage and anterior chamber abnormalities. Foreign body detection and retinal detachment followed thereafter. Other abnormalities of globe, lens, retinal detachment and choroid detachment were also observed and analysed.
Conclusion: In our study, the higher percentage of major ophthalmologic findings like vitreous haemorrhage and anterior chamber abnormalities appear to be due to the fact mainly those patients, in whom clinical examination was not possible, were referred for ocular Ultrasound examination. These included ones in whom eyelids were either swollen or had open injuries, and also in whom posterior chamber was inadequately visualized due to anterior chamber rendered opaque by injury. The study showed that ultrasound is an excellent modality to diagnose extent and nature of ocular trauma. Thus we propose liberal use of ocular ultrasound in an emergency setting of ocular trauma.
Keywords
Ocular Trauma, Ultrasound, Poly Trauma
References
- Wong TY, Klein BE, Klein R. The prevalence and 5 – year incidence of ocular trauma. The Beaver Dam Eye Study. Opthalmology.2000 Dec ; 107 (12): 2196-202.
- Vats S, Murthy GVS, Chandra M, Gupta SK, Vashist P, Gogoi M. Epidemiological study of ocular trauma in an urban slum population in Delhi, India. Indian J Opthalmol 2008;56: 313- 316.
- Chiapella AP, Rosenthal AR. 1 year in an eye casualty clinic. Br J Ophthalmol. 1985; 69: 865-70
- Blavais M. Bedside emergency department ultrasonography in the evaluation of ocular pathology. AcadEmera Med 2000; 7: 947-50
- Berinstein DM, Gentile RC, Sidoti PA, Stegman Z, Tello C, Leibmann JM et al. Ophthalmic Surg Lasers. 1997 Mar; 28(3): 201-7
- Chugh JP, Susheel, Verma M. Role of ultrasonography in ocular trauma. Indian J Radiol Imaging 2001;11(2): 75-79
- Deramo VA, Shah Gk, Baumal CR, Fineman MS, Correa ZM, Benson WE et al. Role of ultrasound biomicroscopy in ocular trauma. Trans Am Ophthalmol Soc. 1998;96: 364-7
- Khan BS, Khan MD. A review of 100 cases of ectopia lentis. Presentation, management and visual prognosis. Pak J of Ophthalmo. 2002; 18: 3-9
- Puodziuviene E, Paunksnis A, Kurapkiene S, Imbrasiene D. Ultrasound value in diagnosis, management and prognosis of severe eye injuries. Ultragarsas, Nr. 2005; 3 (56): 40-43.
- Imran S, Amin S, Imran M. Imaging in ocular trauma optimizing the use of ultrasound and computed Tomography. Pak J Ophthalmol 2011; 27(3): 146-51.
- Pieramici DJ. Vitreo-retinal Trauma. Ophthalmol Clin North Am. 2002; 15: 224-5.
- Tabatabaei A, Kiarudi MY, Ghassemi F, Moghimi S, Mansouri M, Mirshahi A, et al. Evaluation of posterior lens capsule by 20-MHz ultrasound probe in traumatic cataract. Am J Ophthalmol, Jan 2012;153(1):51-4.